Chronic disease program

Breathing sporty woman resting at promenade on a sunny day

At St Leonards Physiotherapy, we run exercise programs with the goal to help you manage your chronic conditions independently. From arthritis, to diabetes and many other issues, we help you create long term changes in your life, to help better manage your pain and improve your quality of life. The programs we offer include:

  • Diabetes: BEAT IT
  • Osteoporosis: ONERO
  • Osteoarthritis
  • Heart Disease
  • Cancer

Classes range from group to individual sessions, with options of physiotherapy and dietitian consultations if required. All of the programs are tailored to your individual conditions and exercise capacity. Our programs run out of Norths Fitness (a gym in North Sydney Leagues Club, Cammeray), and our clinic rooms in Atchinson St, St Leonards.

Our main priority is to help people with these chronic conditions learn how to exercise independently, without supervision. We don’t want people to become trapped into expensive, ongoing programs.

For more information, please click on a program above, scroll down to read more about all our programs, or contact us.


Diabetes: Beat It program

Beat It is a free, NDSS funded, eight week physical activity and lifestyle program delivered by Accredited Exercise Physiologists and Physiotherapists who have undertaken training with Diabetes NSW and ACT.

Benefits

  1. Supervision of specific exercise program for diabetes management
  2. Exercising in a motivating group setting with others with diabetes
  3. Access to Norths Fitness Gym for 16 sessions
  4. 6 education sessions to understand your diabetes  

 About the program

The program involves moderate intensity aerobic, strength and balance-based exercises as well as education sessions on healthier living. There are 15 people allocated to each class and participants need to be registered under NDSS to be eligible for the program.  

Whether you have exercised before or need some help getting started, the Beat It program will help you on your journey to a healthier and more active life. Classes start slowly and build up as fitness, strength and confidence improves.

What’s involved?

Medical clearance: Before starting the program participants need to have medical clearance from their doctor.

Initial consultation: Participants attend an initial consultation to complete an exercise assessment and pre exercise questionnaires to help us, and them, understand their diabetes. 

Small group exercise sessions: The program runs for 8 weeks (2 x 1 hour sessions per week at Norths Fitness).

Follow up: A follow up assessment is completed at the end of the course with progress reports sent to your GP.  

Costs

The program is free but participants need to be enrolled into the program through the NDSS.  If you are interested in joining future programs, please contact us. We’ll discuss the program with you and support you with your NDSS registration.


Osteoporosis: ONERO program

ONERO is an exercise program developed for people with osteopeania and osteoporosis, designed  to help reduce the risk of fractures. It does this by building balance, muscle strength and most notably, bone density.

Benefits

  • Initial physiotherapy session
  • Ongoing evaluation to track your progress
  • Small group exercise class (max. eight to a class)
  • Clinically proven to reduce fracture risk in patients with low to very low bone mass
  • Improve muscle strength and balance to reduce falls risk

The science behind the program:

The program was developed by The Bone Clinic, a translational research facility in Queensland (led by Belinda Beck and Lisa Weis), after they published their LIFTMOR trial, which was conducted at Griffith University. The trial was designed to test the effectiveness and safety of high intensity, interval resistance training for people with low to very low bone mass. After 12 months of participation in the program, they found the following results:

  • Lumbar Spine Bone Mass Density (BMD):  Increase of 4.0 to 4.1% (P<.0001)
  • Total Hip BMD:  Increase of 1.5 to 3.4% (P<.0001)
  • Femoral Neck BMD:  2.4 to 4.5%  (P<.0001)
  • Sit to stand:  Increase of 10.7 to 17.6% (P<.0001)
  • Back Extensor Strength:  Increase of 27.8% to 49.1% (P<.0001)
  • Previous 12m falls:  Decreased 45% (P<.053).  We recorded 45 falls the year before compared to 25 the following year.
  • Previous fractures:  Decreased 91.7% (P<.0001).  We recorded 24 fractures the year before compared to 2 the following year.

About the program

The ONERO exercise program is based around 4 principal exercises:

  • The deadlift
  • The squat
  • The press (military shoulder press)
  • The drop-chin (a controlled fall from a low height to generate impact)

The deadlift, squat and press are set-up so that the client lifts their 5 repetition max for 5 sets. The heavy load is required to produce weight bearing load on the bone and therefore elicit a osteoblastic response and improve bone density.

What’s involved?

Medical referral: First you’ll need a referral from your GP or endocrinologist, including your latest bone density scan results.

Physio assessment: You’ll take part in an initial assessment with an experienced, qualified physiotherapist, which will be 60 minutes.

Small group exercise sessions: The ONERO program runs twice per week for 30-45 minutes. You will attend the classes in 10 week blocks, with two weeks off between blocks (longer over Christmas). The program is delivered indefinitely to ensure safe and progressive service delivery.

The ONERO program involves supervised, high intensity resistance and impact training, that is tailored to be safe for people at risk of osteoporatic fracture.

Testing: We test progress every 12 months in the clinic to check muscle strength and balance improvements – this will complement re-evaluation of bone density with your endocrinologist.

Costs

  • Initial Physiotherapy assessment: $160
  • Program cost: $20/class
  • Gym m’ship at Norths: $19/week

Rebates

Private health insurance: Rebates available for initial assessments, group exercise sessions. Please check with your private health insurer.

Medicare: TCA/EPC for Physio assessment.


Cancer

Benefits

  • Initial physiotherapy session
  • One to one instruction, care and support
  • Progress to an independent gym program
  • Program tailored to each person

About the program

Our Physio, Michael, has completed a male cancer rehab course and will soon be completing a female based course.  St Leonards Physio is now listed as a provider for the steel cancer course

The main focus of our cancer rehab program is on increasing energy, fitness, strength, motivation, pelvic floor activation, core activation, and pain reduction, to enable patients to return to/increase their level of function after or during cancer treatment.  

What’s involved?

Medical referral: First you’ll need a referral from your GP, specialist or surgeon.

Physio assessment: You’ll take part in an initial assessment with an experienced, qualified Physiotherapist, which will be 60 minutes.

Ongoing sessions: You will continue to see a physio one to one, where we put an individualised plan in place to treat and support you.

Testing: We test and measure before you begin the program (baseline), and again as needed to reassess progress and improvement.

Costs

  • Initial Physiotherapy assessment: $160
  • Follow up Physio appointments: $80
  • Gym m’ship at Norths: $19/week

Rebates

Private health insurance: Rebates available for initial assessments and follow-up sessions. Please check with your private health insurer.

Medicare: TCA/EPC for Physio assessment and follow-up sessions.


Osteoarthritis, Heart Disease and other chronic conditions

Benefits

  • Initial physiotherapy session
  • Consultations with dietitian if required. Discussed in initial consultation.
  • Small group exercise class (four to a class)
  • Progress to an independant gym program
  • Program tailored to each person

What’s involved?

Medical referral: First you’ll need a referral from your GP, specialist or surgeon.

Physio assessment: You’ll take part in an initial assessment with an experienced, qualified Physiotherapist, which will be 60 minutes.

Dietitian assessment: You’ll have a 60 minute initial assessment with an experienced Dietitian.

Small group exercise sessions: These run twice a week for 1 hour per session, for 8 weeks at Norths gym. You attend 10 supervised and then 6 independent sessions, with a maximum 4 people per group.

Testing: We test and measure before you begin the program (baseline), 3 months and 12 months to assess and reassess progress and functional improvement.

Costs

  • Initial Physiotherapy assessment: $160
  • Initial Dietitian assessment*: $160
  • Follow up Dietitian appointment: $80
  • Group therapy sessions (10 x $40/hr): $400
  • Gym m‘ship at Norths for 8 weeks: $19/week

*Northside Nutrition and Dietetics: Suite 74, Chatswood Village, 47 Neridah St, Chatswood. Phone: 9415 4845. Not all participants will be required to see a dietitian.

Rebates

Private health insurance: Rebates available for initial assessments, group exercise sessions. Please check with your private health insurer.

Medicare: TCA/EPC for Physio and Dietitian assesment.